I support this proposal.  This level of informed consent is standard for midwives anyway, regardless of regulations, but it doesn't hurt to make it a formal regulation.  I would also like to see obstetricians required to provide women with evidence-based information when they are faced with any risk factors as well. 

I am writing in support of the proposed legislation regarding general licensed midwives disclosure requirements for high-risk pregnancies. These disclosure requirements are in keeping with the midwives model of care. I would further suggest that similar disclosure requirements be required of obstetricians for procedures, interventions, testing, and medications that might be offered during pregnancy and the early postpartum period so that evidence based practice is supported throughout the continuum of care.

I write in support of these regulations which I understand to ensure documentation of providing information and therefore the personal control and options of pregnant women.  The Part III Practice Standards of 18VAC85-130-80 seems to state what is happening currently where a midwife meets with, accesses potential issues, documents the risks, and provides evidence based information on risks to the pregnant woman and for the record.  Information is important for a pregnant woman to make decisions.  Pregnant women are in many different situations and there are many factors they have to consider and make decisions on..  After the information is provided, the pregnant woman's decision must be respected and supported or we will push her out and away from care and delivery options. I am delighted to learn of the Virginia Board of Medicine support of these regulations and in general of midwives and of pregnant woman to be respected in their making of informed decisions. 

I support these regulations and hope that they will be expanded to all maternity care providers including family physicans and obstetricians. 

I support all kind of regulations that protect high risk pregnancies and also hope that they will be expanded to all maternity care providers.

Regards,

Esperanza

I support on this proposal regarding on the regulations.

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